Diagnosis and Management of Intrathoracic Tracheal Rupture

Olson, Richard O.; Johnson, Joel T.

doi:10.1097/00005373-197109000-00010

Cited by 16 publications

(6 citation statements)

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“…Stenosis and subsequent symptoms follow unrecognised tracheal ruplure and only surgical repair yields prompt recovery. Adequate surgical management avoids secondary stenosis 01' stricture, because suture lines may indeed grow (2,8,12).…”

Section: Discussionmentioning

confidence: 99%

Tracheal Rupture in a Newborn During a Complicated Delivery. Diagnosis and Surgical Repair

et al. 1992

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Rupture of the trachea is an exceptional obstetrical lesion. The infant reported in this paper, at 1 hour of age, developed respiratory distress with pneumomediastinum, bilateral pneumothorax and subcutaneous emphysema. This resulted from the fact that the trachea had ruptured, within 1 cm of the carina, during the difficult delivery. When the child was 23 days old, operation proved necessary because extubation was not feasible. The stenotic portion of the trachea was resected and continuity restored by end-to-end anastomosis. The tracheal lumen at the site of the anastomosis proved normal by bronchoscopic examination 4 months after the operation. There is only one similar case in the literature. The etiology of this rupture is discussed.

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Section: Discussionmentioning

confidence: 99%

Tracheal Rupture in a Newborn During a Complicated Delivery. Diagnosis and Surgical Repair

et al. 1992

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“…27,30,44,69 There is also substantial documentation that blunt or penetrating thoracic injury can cause respiratory distress and hypoxemia. [171][172][173][174][175][176][177] Multiple studies document that emergency tracheal intubation is required for 40% to 60% of patients sustaining pulmonary contusion, 65,178 -182 chest wall fractures, 54,183,184 or flail chest. 53,56,[185][186][187][188][189] …”

Section: Introductionmentioning

confidence: 99%

Guidelines for Emergency Tracheal Intubation Immediately after Traumatic Injury

Dunham

Barraco

Clark

et al. 2003

The Journal of Trauma: Injury, Infection, and Critical Care

147

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“…This is a common cause of subcutaneous emphysema above the clavicles but is most often due to trauma [8] or iatrogenic injury during difficult intubation [9] neither of which applied to our patient. Relevant to our case, tracheal rupture has also been reported in cases of forceful coughing, for example due to upper respiratory tract infection.…”

Section: Discussionmentioning

confidence: 99%

Subcutaneous emphysema in a case of infective sinusitis: a case report

Zakaria

Khwaja

2010

J Med Case Reports

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IntroductionSubcutaneous emphysema with pneumomediastinum is a rare phenomenon with a high morbidity and may occur spontaneously.Case presentationA 30-year-old Caucasian man presented with sudden onset of a painful, swollen neck and was found, via clinical and radiological examination to have subcutaneous emphysema. A swallow study showed no oesophageal perforation. Computed tomography of his neck and thorax demonstrated pneumomediastinum but no other pathology. Management was conservative with intravenous antibiotics, fluids and no oral intake. He had a history of a productive cough and a flexible nasoendoscopy found purulent sinusitis which was treated with topical nasal washes. The patient was discharged after 72 hours and will be followed up by the otolaryngology-head and neck service.ConclusionsInfective sinusitis is a rare cause of subcutaneous emphysema and pneumomediastinum. It may be managed conservatively provided there is early recognition and exclusion of more serious pathology, such as a ruptured trachea or oesophagus.

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Diagnosis and Management of Intrathoracic Tracheal Rupture

Cited by 16 publications

References 0 publications

Tracheal Rupture in a Newborn During a Complicated Delivery. Diagnosis and Surgical Repair

Tracheal Rupture in a Newborn During a Complicated Delivery. Diagnosis and Surgical Repair

Guidelines for Emergency Tracheal Intubation Immediately after Traumatic Injury

Subcutaneous emphysema in a case of infective sinusitis: a case report

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